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THE CITY OF EVERETT Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot ` Block <br />4. <br />Division' or Addition — - --- i <br />etv <br />No.=Tr�'�_ _T _ Owned by <br />Application and Connection by / 7-/�,trY/1—Licenses <br />Remarks : —ZL <br />Depth of Sewer at Connection w_J <br />00871. <br />7 <br />L <br />Connection made the__ -_ .day of — -- 192-_. Examined and Approved by—'- t�om� <br />_.. Sutt. of Streets and Sewers. BY <br />BY - _ —_ ..__inspector. ' <br />